Griener, Geordie Vincent

Griener, Geordie Vincent is an individual health care provider with primary practice located at 1 Orthopaedic Pl , St Augustine FL 32086-4202. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Griener, Geordie Vincent can be contacted via phone (904) 825-0540.

Contact Information

Primary practice address
1 Orthopaedic Pl St Augustine FL 32086-4202
Phone: (904) 825-0540
Fax: (904) 217-8057
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT19163 Florida

Profile Details

NPI number 1376681247
LBN Legal business name Griener, Geordie Vincent
Credentials Master of Physical Therapy (MPT)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 2nd, 2007
Last updated Dec 17th, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376681247 NPPES
Florida MEDICAID 890192900

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